OXFORD SILVER PLANS

OXFORD SILVER PLANS

Oxford partners with more than 1.3 million physicians and care professionals, and 6,500 hospitals and other care facilities nationwide . Together with health care professionals, they help people access the right care at the right time.

OXFORD METRO SILVER EPO 30/80 G

Rates are for new and renewing groups effective 4/1/2022 — 6/1/2022

PLAN RATES (MONTHLY)

Employee
$792.82
Employee/Spouse (DP)
$1,580.70
Employee/Child(ren)
$1,344.34
Family (DP)
$2,250.39

PLAN HIGHLIGHTS

  • PCP/Specialist: $30/$80  
  • Deductible, Coinsurance: $3,500/$7,000, 30%
  • Max OOP: $8,700/$17,400
  • Rx: $10/$65/$95 after $150/member Rx deductible (n/a Tier 1)

OXFORD METRO SILVER EPO 50/100 ZD

Rates are for new and renewing groups effective 4/1/2022 — 6/1/2022

PLAN RATES (MONTHLY)

Employee
$921.48
Employee/Spouse (DP)
$1,838.01
Employee/Child(ren)
$1,563.05
Family (DP)
$2,617.07

PLAN HIGHLIGHTS

  • PCP/Specialist: $50/$100
  • Deductible, Coinsurance: $0, 0%
  • Max OOP: $8,700/$17,400
  • Rx: $10/$65/$95 after $150/member Rx deductible (n/a Tier 1)

OXFORD LIBERTY SILVER EPO 25/50 G

Rates are for new and renewing groups effective 4/1/2022 — 6/1/2022

PLAN RATES (MONTHLY)

Employee
$897.83
Employee/Spouse (DP)
$1,790.72
Employee/Child(ren)
$1,522.85
Family (DP)
$2,549.67

PLAN HIGHLIGHTS

  • PCP/Specialist: $25/$50
  • Deductible, Coinsurance: $4,500/$9,000, 50%
  • Max OOP: $8,700/$17,400
  • Rx: $10/$50/$90 after $200/member Rx deductible (n/a Tier 1)

OXFORD LIBERTY SILVER EPO 40/70

Rates are for new and renewing groups effective 4/1/2022 — 6/1/2022

PLAN RATES (MONTHLY)

Employee
$934.34
Employee/Spouse (DP)
$1,863.74
Employee/Child(ren)
$1,584.92
Family (DP)
$2,653.72

PLAN HIGHLIGHTS

  • PCP/Specialist: $40/$70
  • Deductible, Coinsurance: $3,000/$6,000, 35%
  • Max OOP: $8,700/$17,400
  • Rx: $10/$50/$90 after $200/member Rx deductible (n/a Tier 1)

OXFORD LIBERTY SILVER EPO 50/100 ZD

Rates are for new and renewing groups effective 4/1/2022 — 6/1/2022

PLAN RATES (MONTHLY)

Employee
$1,041.55
Employee/Spouse (DP)
$2,078.16
Employee/Child(ren)
$1,767.17
Family (DP)
$2,959.27

PLAN HIGHLIGHTS

  • PCP/Specialist: $50/$100
  • Deductible, Coinsurance: $0, 0%
  • Max OOP: $8,700/$17,400
  • Rx: $10/$65/$95 after $150/member Rx deductible (n/a Tier 1)

OXFORD LIBERTY SILVER HSA 4000 MOTION

Rates are for new and renewing groups effective 4/1/2022 — 6/1/2022

PLAN RATES (MONTHLY)

Employee
$878.06
Employee/Spouse (DP)
$1,751.16
Employee/Child(ren)
$1,489.23
Family (DP)
$2,493.31

PLAN HIGHLIGHTS

  • PCP/Specialist: Deductible then 20% coins
  • Deductible, Coinsurance: $4,000/$8,000, 20%
  • Max OOP: $7,050/$14,100
  • Rx: Deductible then $10/$50/$90

Carrier rates are subject to NYS Department of Financial Services approval and final verification at enrollment.
All medical plans include $4.95 for HealthPass Program Benefits (non-carrier/agent services) and a 2.9% billing administrative fee.

 


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